Show The introduction off Viagra has changed profoundly how adults view a personal medical problem BY ISADORE ROSENFELD MPOTENCE AFFECTS AT LEAST 30 million men young and old in this country Increasingly men are discussing their problem as they realize that impotence does not reflect on their manhood It is largely the result of various hormonal vascu-- J lar and neurological causes and to a lesser extent psycho- logical factors Many of these causes now can be treated IS IT BECAUSE YOU'RE OLD? MD killers antidepressants tranquilizers phenylpropanolamine (the ingredient in some appetite suppressants and cold remedies) even cimetidine (Tagamet) the drug— all of these can result in impotence If you're having a penetration problem review every drag you're taking regardless of whether it’s anU-ulc- of mind Is MYTH: onlyattete ' FACT: OnlyImpotence 20 of cases are psychological In the other 80 there Is a physical basis testosterone Is the beet treatment for impotence FACTi Testosterone is of help only in those few cases In wtdeh there is a true deficiency of this hormone MYTH: Extra tioning Although testos- terone production does diminish with age there’s usually enough to maintain libido and permit men Bk even in their 80s and old- prasmii wn wniiswifs§in er to produce sperm and yisip wsmiionb Extra cancers IS IT AIL IN YOUR HEAD? consequence of aging cm occur regardless of age FACE Impotence spontaneous nighttime erection meene you’re not reaBy Impotent FACT: Impotence is the faHure to have an erection when you want it “Surprise” nocturnal erections suggest that the impotence Is psychological patch or orally —to improve their sexual func- vate dormant prostate an Inevitable MYTH: A Many men resort to testosterone supplements —by shot by cream by testosterone usually does not do a thing for sexual performance and can at least theoretically acti- MYTH: Impotence Is er p remain potent PIIEiR MINI 1DD HOI sychological and emotional factors account for only 20 of impotence cases Before you decide your problem is in your head be sure you check out afl possible physical causes Many complex psychological and emotion-a- l factors can lead to impotence but they account for only 20 of cases Before you decide that your erectile dyv function is all in your head be sure to exclude each and every one of the physical causes described below: MEDICATION Medications cause at least 23 of all cases of impotence Drugs that lower blood pressure antihistamines pain- - a prescription item or one you’ve bought over the counter or an herb VASCULAR DISEASE Blood Bowing into the penis is what makes an erection The volume necessary to do so can be reduced nut only by arteriosclerosis (hardening of the arteries) but also by physical injury Dr Irwin Goldstein professor of urology continued MYTH: Impotence la to men what menopauae la to women FACK Most men continue to make enough nude hormone to produce sperm and have erections well Into their 70s and even 80s Stress and fatigue are cauaea of Impotence major FACTO Impotence is mainly due to vascular neurological hormonal or chronic psychological causes MYTH: MYTH: Failure to "perform every time means you’re Impotent or about to bo The Intermittent Inability to have an erection Is a common normal event FACTO MYTH: Impotence la the reault of a aexuaBy FACTO tranamltted tBaeaae Impotence Is rarely due to an infection MYTH: Maaturbatkm cauaea Impotence FACTO It does not ' JULV W |